CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Long Island Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $175
  • Cash Discount Price: $675
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Long Island Community Hospital is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $675. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.98x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$675

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $675 (377%)
Insurance Median: $175 (98%)
Cash: $675 (377% of Medicare)
Ins. Median: $175 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Local 1199 $88 49%
Magellan $114 64%
Multiplan $114 64%
Oscar Health Exchange $119 66%
Coventry $130 73%
Longevity Health $140 78%
Galaxy $158 88%
Aarp $175 98%
Aetna $175 - $391 98%
Beacon Health Options $175 98%
Blue Cross Blue Shield $175 - $1,419 98%
Centerlight $175 98%
Cigna $175 - $432 98%
Emblem Ghi $175 98%
Fidelis $175 98%
Humana $175 98%
Integra $175 98%
Medicare (plans) $175 98%
UnitedHealthcare $175 - $1,145 98%
Agewell $181 101%
Elderplan Inc. $193 108%
Wellcare $193 108%
Magnacare $661 - $1,157 369%
Nexus Nyu $1,031 575%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals